小児の外傷性十二指腸破裂の1治験例

概要

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Duodenal rupture caused by abdominal trauma is rare in child. Up to this lime, only 25 cases have been reported in Japan. We report here such a case who is 10-year-old boy and has been successfully treated. During play, he was contused at his upper abdomen by a horizontal bar, and admitted to our hospital on the next day. The emergency operation was performed, which revealed that abdominal organs were intact. However, the retroperitoneum near the duodenum was inflammatory. The 2nd portion of the duodenum was found to be ruptured in an extent of about two thirds of the duodenal circumference. After debridmement and closure of the wound, a decompression tube was inserted into the duodenum, and a Penrose drain into the retroperitoneal space near the wound. Although postoperative anastomotic leakage happened, continuous suction from the retroperitoneal space has provided a perfect closure and he was discharged on the 32nd day after the operation. After discharge, clinical course was uneventful for more than one year.
日本小児外科学会の論文
1982-08-20